A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored?
Urine output
Visual acuity
Skin color
Cardiac rhythm
The Correct Answer is B
A. Monitoring urine output is not specifically related to the side effects of ethambutol.
B. Ethambutol can cause optic neuritis, so monitoring visual acuity is essential.
C. Skin color changes are not commonly associated with ethambutol therapy.
D. Cardiac rhythm monitoring is not necessary for clients on ethambutol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Closed-ended questions may limit the information gathered from the client. Open-ended questions are more appropriate for exploring sensitive topics like STIs.
B. Referring a client to genetic counseling is not typically indicated solely based on a history of STIs.
C. A client's reproductive health history, including past and present STIs, is crucial for comprehensive counseling and treatment planning.
D. Asking about the client's exposure to past or present STIs is important for assessing risk factors, providing appropriate counseling, and guiding testing and treatment decisions.
Correct Answer is B
Explanation
A. Methotrexate is not typically associated with insomnia, and the timing of administration should be according to the provider's instructions.
B. Drinking 2 to 3 L of water per day helps prevent kidney damage and reduces the risk of side effects such as methotrexate toxicity.
C. Fever is not a common expected side effect of methotrexate and should be reported to the provider.
D. Combining methotrexate with NSAIDs can increase the risk of toxicity; this should only be done under direct medical supervision.
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